Abstract
Problem:
There is a need to train the next generation of Developmental-Behavioral Pediatric (DBP) leaders, including pediatric providers, advance practice nurses, and other specialty disciplines such as psychologists to improve the system of care and increase access to evaluation and services for a culturally/linguistically diverse children with autism/developmental disabilities (DD) and other behavioral concerns in Southern CA through direct care, teaching, advocacy/administration and research.
Goals and objectives:
Goal 1: Fellows as Care Providers: 1.1: Recruit and train 1-2 fellows/year (3 racial/ethnic minorities), 1-2 other long-term trainees (LTT). 1.2: Demonstrate culturally competent, family- and patient- centered assessment/treatment, clinical skills. 1.3: Perform assessments/interventions with a focus on autism/DD. 1.4: Utilize interdisciplinary team knowledge/skills. Goal 2: Fellows as Scholars: 2.1: Acquire scholarship skills. 2.2: Develop dissemination skills. 2.3: Faculty advance science-based practice. Goal 3: Fellows as Advocates: 3.1: Develop self-reflective leadership skills. 3.2: Develop local advocacy skills: Title V. 3.3: Apply system consultation skills, TA to MCH professionals. 3.4: Faculty provide Title V consultations. Goal 4: Fellows as Educators: 4.1: Improve DBP presentation skills. 4.2: Utilize effective teaching of residents/medical students/professionals. 4.3: Faculty provide case-based teaching. Goal 5: Health Provider Education: 5.1: Medical students learn DBP knowledge/skills. 5.2: Residents learn DBP knowledge/skills. 5.3: Pediatric practitioners learn DBP knowledge/skills.
Methodology:
The individualized MCH competency-based curriculum responds to the DBP Training Program objectives and supports the overall goals of clinical practice, scholarship, teaching, and advocacy/administration: 1) discipline-specific and interdisciplinary clinical settings, 2) clinical, seminar and leadership curriculum, 3) national MCH module seminars, self-study modules, web-based training, and webinars, 4) engaging the CA-LEND, Autism Care Network/ ECHO Autism, Southern CA Resident Training and CHLA MCH Collaborative, and SC CTSI programs. Program responds to MCH Leadership Competencies, Life Course Perspective, Healthy People 2030 and Autism CARES. HP 2030 OBJECTIVES: Disability/Health; Maternal/Infant/Child Health; Early/Middle Childhood; Adolescent Health; Access to Health Services; Educational/ Community-Based Programs; Health Communication, Social Determinants; Substance Abuse; Mental Health.
Coordination:
State Councils-Early Intervention/DD, CA Title V, CA DDS, ACN, AAP, Head Start, CA Perinatal Quality Care Collaborative, LA County Dept. Public Health, Maternal, Child and Adolescent Health, Regional Centers, Family Voices.
Evaluation:
Program collects formative and summative data including DBP attendance, faculty feedback in seminars, training clinic, and leadership activities and assignments, DBP Individualized Leadership Plan portfolio, fellow/patient/community feedback.